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运动与上呼吸道感染的发生率

Exercise and the incidence of upper respiratory tract infections.

作者信息

Heath G W, Ford E S, Craven T E, Macera C A, Jackson K L, Pate R R

机构信息

Division of Chronic Disease Control, Centers for Disease Control, Atlanta, GA 30333.

出版信息

Med Sci Sports Exerc. 1991 Feb;23(2):152-7.

PMID:2017010
Abstract

We examined illness patterns in a cohort of 530 male and female runners who completed a monthly log for 12 months. The average number of upper respiratory tract infections (URTIs) per person per year for the cohort was 1.2. An upper respiratory tract infection was indicated by the report of any of the following symptoms; runny nose, sore throat, or cough. Using a multiple logistic regression model, the following factors were found to be associated with having one or more URTIs in the follow-up period: living alone (odds ratio = 2.27, 95% CI = 1.01, 5.09), running mileage (486-865 miles, odds ratio = 2.00, 95% CI = 1.01, 2.78; 866-1388 miles, odds ratio = 3.50, 95% CI = 1.52, 4.44; greater than 1388 miles, odds ratio = 2.96, 95% CI = 1.30, 3.68), body mass index greater than the 75th percentile (odds ratio = 0.58, 95% CI = 0.35, 0.94), and male gender (odds ratio = 0.14, 95% CI = 0.03, 0.68). A significant interaction was found to exist between gender and alcohol use, with the association between alcohol use and upper respiratory tract infections being positive in males and negative in females. These results suggest that running dosage (mileage) is a significant risk factor for upper respiratory tract infections in this group of exercisers.

摘要

我们对530名男性和女性跑步者进行了疾病模式研究,这些跑步者连续12个月每月记录日志。该队列中每人每年上呼吸道感染(URTIs)的平均次数为1.2次。上呼吸道感染通过报告以下任何一种症状来表明:流鼻涕、喉咙痛或咳嗽。使用多元逻辑回归模型,发现以下因素与随访期间发生一次或多次上呼吸道感染有关:独居(优势比=2.27,95%置信区间=1.01,5.09)、跑步里程(486 - 865英里,优势比=2.00,95%置信区间=1.01,2.78;866 - 1388英里,优势比=3.50,95%置信区间=1.52,4.44;大于1388英里,优势比=2.96,95%置信区间=1.30,3.68)、体重指数高于第75百分位数(优势比=0.58,95%置信区间=0.35,0.94)以及男性性别(优势比=0.14,95%置信区间=0.03,0.68)。发现性别与饮酒之间存在显著交互作用,饮酒与上呼吸道感染之间的关联在男性中为正,在女性中为负。这些结果表明,跑步剂量(里程)是这组锻炼者上呼吸道感染的一个重要风险因素。

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